NPI | 1205713922 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAVONNA HUNTER Owner Case Manager 904-803-3805 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 335G00000X Medical Foods Supplier |
174200000X Meals | |
251300000X Local Education Agency (LEA) | |
251B00000X Case Management | |
251V00000X Voluntary or Charitable | |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2025-08-18 |
Last Update Date | 2025-08-18 |